| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,016 |
1,410 |
$155K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,151 |
891 |
$115K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,557 |
1,305 |
$66K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,547 |
1,304 |
$66K |
| 0502F |
|
1,081 |
740 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
555 |
344 |
$45K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
683 |
569 |
$39K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
44 |
27 |
$37K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,214 |
1,001 |
$35K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
587 |
408 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
345 |
305 |
$22K |
| 86780 |
|
683 |
568 |
$11K |
| 87511 |
|
214 |
164 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
80 |
73 |
$7K |
| 0500F |
|
67 |
54 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
126 |
121 |
$6K |
| 86803 |
|
355 |
286 |
$6K |
| 59430 |
|
31 |
27 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
683 |
597 |
$4K |
| 87340 |
|
310 |
262 |
$4K |
| 96127 |
|
265 |
218 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
38 |
$4K |
| 81025 |
|
639 |
544 |
$3K |
| 96160 |
|
202 |
145 |
$3K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
88 |
76 |
$3K |
| 86762 |
|
264 |
218 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
60 |
60 |
$2K |
| 99459 |
|
101 |
100 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$1K |
| 76830 |
Ultrasound, transvaginal |
17 |
15 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
117 |
111 |
$1K |
| 11981 |
|
13 |
12 |
$1K |
| 82950 |
|
88 |
68 |
$410.08 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
14 |
12 |
$297.70 |